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We know that for many this is creating a lot of anxiety. We want you to know that you are not alone."}],"markDefs":[],"style":"normal"},{"_key":"0ece38579181","_type":"block","children":[{"_key":"0ece385791810","_type":"span","marks":["em"],"text":"At Tia, we will continue to put out information that is factual, and tactical for navigating this rapidly changing situation. We will also be extending Tia Care digitally through Virtual Visits via chat and video, starting today with Prescription Refills."}],"markDefs":[],"style":"normal"},{"_key":"64b8368d5087","_type":"block","children":[{"_key":"64b8368d50870","_type":"span","marks":["em"],"text":"By doing so, we can increase the capacity of patients we can service, and also help our patients uphold appropriate “social distancing” by minimizing travel to the Tia Clinic for services that don’t require it."}],"markDefs":[],"style":"normal"},{"_key":"7b914fe65de1","_type":"block","children":[{"_key":"7b914fe65de10","_type":"span","marks":["em"],"text":"In the spirit of proactive preparation, we’re encouraging you, our Tia patients, to prepare your medicine cabinets with any prescriptions and over-the-counter medications you take regularly. Whether you need more birth control pills or an extra-month supply of your thyroid medication, your Tia Care Team is here to help."}],"markDefs":[],"style":"normal"},{"_key":"64d8919052a2","_type":"block","children":[{"_key":"64d8919052a20","_type":"span","marks":["em"],"text":"—Team Tia"}],"markDefs":[],"style":"normal"},{"_key":"c4a26e1d12b9","_type":"block","children":[{"_key":"c4a26e1d12b90","_type":"span","marks":[],"text":"Here’s a step-by-step breakdown of how to get your prescriptions refilled with Tia:"}],"markDefs":[],"style":"h3"},{"_key":"e4189934ca9a","_type":"block","children":[{"_key":"e4189934ca9a0","_type":"span","marks":[],"text":"#1: "},{"_key":"e4189934ca9a1","_type":"span","marks":["64069758741d"],"text":"Sign-in"},{"_key":"e4189934ca9a2","_type":"span","marks":[],"text":" to your Tia Clinic Home."}],"markDefs":[{"_key":"64069758741d","_type":"internalLink","linkType":"text","reference":{"_ref":"8a7e7b1e-7485-4a22-be24-9a2005998452","_type":"reference"}}],"style":"h4"},{"_key":"a695a5600c13","_type":"block","children":[{"_key":"a695a5600c130","_type":"span","marks":[],"text":"#2: Message your Tia Care Coordinator with a list of any prescriptions that do not have refills."}],"markDefs":[],"style":"h4"},{"_key":"d77f925c1940","_type":"block","children":[{"_key":"d77f925c19400","_type":"span","marks":[],"text":"Please be prepared with the name of the provider who last prescribed you the medication you’re requesting and the location of the pharmacy that last filled the prescription."}],"markDefs":[],"style":"normal"},{"_key":"54489d44d3ba","_type":"block","children":[{"_key":"54489d44d3ba0","_type":"span","marks":["strong"],"text":"NOTE:"},{"_key":"54489d44d3ba1","_type":"span","marks":[],"text":" To best service all of our patients who need care, if your prescription has an active refill please call your pharmacist directly. Due to high volume, we’re focusing our care team’s efforts on patients who are out of refills."}],"markDefs":[],"style":"normal"},{"_key":"f733ffbc208f","_type":"block","children":[{"_key":"f733ffbc208f0","_type":"span","marks":[],"text":"#3: Ensure your Tia health record is complete, and double-check that your pharmacy, insurance, and credit card info are all up-to-date."}],"markDefs":[],"style":"h4"},{"_key":"1f6dd2eae5ca","_type":"block","children":[{"_key":"1f6dd2eae5ca0","_type":"span","marks":[],"text":"#4: Depending on your specific prescription, we will either refill via chat, or set you up with a short Virtual Visit with a Tia Provider."}],"markDefs":[],"style":"h4"},{"_key":"a318124a7f23","_type":"block","children":[{"_key":"a318124a7f230","_type":"span","marks":[],"text":"Ahead of a Virtual Video Visit, download "},{"_key":"a318124a7f231","_type":"span","marks":["f53b85e7b451"],"text":"Zoom Video"},{"_key":"a318124a7f232","_type":"span","marks":[],"text":" — a free, HIPAA-compliant video chat that you’ll use to interface with your Tia Provider from your own home."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f53b85e7b451","_type":"externalLink","url":"https://zoom.us/download"}],"style":"normal"},{"_key":"b03a52dd7769","_type":"block","children":[{"_key":"b03a52dd77690","_type":"span","marks":[],"text":"Be sure you are in a quiet place and enable video — “face-to-face” with your Tia Provider is required by law!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e9f3d897c599","_type":"block","children":[{"_key":"e9f3d897c5990","_type":"span","marks":[],"text":"Be on time! If you are more than 3 minutes late, you will be charged a cancellation fee and need to reschedule. Given capacity, these are highly valued and limited appointments that should be treated just like in-person visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d830c930c47e","_type":"block","children":[{"_key":"d830c930c47e0","_type":"span","marks":[],"text":"#5: We’ll send your prescriptions to Capsule or CVS for delivery (or your preferred pharmacy)."}],"markDefs":[],"style":"h4"},{"_key":"31bc681710ba","_type":"block","children":[{"_key":"31bc681710ba0","_type":"span","marks":["strong"],"text":""},{"_key":"31bc681710ba1","_type":"span","marks":["strong","25f545173a0f"],"text":"Refill Your Prescriptions"},{"_key":"31bc681710ba2","_type":"span","marks":["strong"],"text":""}],"markDefs":[{"_key":"25f545173a0f","_type":"internalLink","linkType":"text","reference":{"_ref":"cb5582f0-024a-4a80-9425-5ce55f0084ff","_type":"reference"}}],"style":"normal"},{"_key":"393cf690d6d5","_type":"sectionHeader","title":"FAQs:"},{"_key":"27749bc0b50a","_type":"block","children":[{"_key":"27749bc0b50a0","_type":"span","marks":[],"text":"Does my insurance cover my Tia Virtual Video Visit?"}],"markDefs":[],"style":"h4"},{"_key":"79a079ce6386","_type":"block","children":[{"_key":"79a079ce63860","_type":"span","marks":[],"text":"If your insurance plan is in-network with Tia, this appointment will be covered! We will submit the claim to your insurance, and we will be waiving all copays at this time."}],"markDefs":[],"style":"normal"},{"_key":"f7e69bc5d4c9","_type":"block","children":[{"_key":"f7e69bc5d4c90","_type":"span","marks":[],"text":"If I am out-of-network or uninsured, how much will my Tia Virtual Video Visit cost?"}],"markDefs":[],"style":"h4"},{"_key":"fb0ae245869e","_type":"block","children":[{"_key":"fb0ae245869e0","_type":"span","marks":[],"text":"If you are out-of-network with us or are uninsured, the fee for this Virtual Video Visit is $30."}],"markDefs":[],"style":"normal"},{"_key":"2e0d93a21dbb","_type":"block","children":[{"_key":"2e0d93a21dbb0","_type":"span","marks":[],"text":"Will my insurance cover an extra month’s supply of my medication?"}],"markDefs":[],"style":"h4"},{"_key":"122ffae7864a","_type":"block","children":[{"_key":"122ffae7864a0","_type":"span","marks":[],"text":"While we are seeing most payers and pharmacies cover an additional 30-day supply, we cannot guarantee coverage at this time."}],"markDefs":[],"style":"normal"},{"_key":"ca3586354478","_type":"block","children":[{"_key":"ca35863544780","_type":"span","marks":[],"text":"Is the Tia Clinic still open?"}],"markDefs":[],"style":"h4"},{"_key":"d0c57642dc72","_type":"block","children":[{"_key":"d0c57642dc720","_type":"span","marks":[],"text":"Yes, the Tia Clinic is still open at this time. We are rolling out Virtual Visits starting with prescription management, to help increase the capacity of patients we can service, to help our patients uphold appropriate “social distancing” by minimizing travel and keeping both our patients and Care Team at the Tia Clinic safe and healthy."}],"markDefs":[],"style":"normal"},{"_key":"011a4160d68c","_type":"block","children":[{"_key":"011a4160d68c0","_type":"span","marks":[],"text":"If I have an in-person appointment at Tia, should I cancel?"}],"markDefs":[],"style":"h4"},{"_key":"f99e4498f3f2","_type":"block","children":[{"_key":"f99e4498f3f20","_type":"span","marks":[],"text":"Patients who are not experiencing flu/cold symptoms are welcome to come in for any existing or booked appointments. We are re-evaluating this on a daily basis to ensure the safety of all Tia members and the broader community. If you feel uncomfortable coming to the clinic for an existing appointment we will waive the cancellation fee at this time."}],"markDefs":[],"style":"normal"},{"_key":"ed9564179106","_type":"block","children":[{"_key":"ed95641791060","_type":"span","marks":[],"text":"What precautions is Tia taking to keep the clinic safe?"}],"markDefs":[],"style":"h4"},{"_key":"5c178de63b34","_type":"block","children":[{"_key":"5c178de63b340","_type":"span","marks":[],"text":"We’ve increased the frequency of cleaning public areas (including door handles, elevator buttons, light switches, iPads, etc.)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f1c9cacdc550","_type":"block","children":[{"_key":"f1c9cacdc5500","_type":"span","marks":[],"text":"Per CDC guidelines, we are using cleaners and sanitizers with a 60% or greater concentration of alcohol. Sanitizer can also be found throughout the Tia Clinic and, of course, at the front desk."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"452e17203bf3","_type":"block","children":[{"_key":"452e17203bf30","_type":"span","marks":[],"text":"We are screening all patients at check-in and taking appropriate actions as needed, providing masks when appropriate."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6145708f2f49","_type":"block","children":[{"_key":"6145708f2f490","_type":"span","marks":[],"text":"We’ve confirmed the laundry cleaners and cleaning team for the Tia Clinic are taking additional measures to ensure everything is clean."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0dbf7d015849","_type":"block","children":[{"_key":"0dbf7d0158490","_type":"span","marks":[],"text":"And of course, the Tia Care Team is:"}],"markDefs":[],"style":"h4"},{"_key":"023d82a7f9e3","_type":"block","children":[{"_key":"023d82a7f9e30","_type":"span","marks":[],"text":"Being extra vigilant with hand washing and sanitizing between all patient visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c4507722e598","_type":"block","children":[{"_key":"c4507722e5980","_type":"span","marks":[],"text":"Minimizing touching their faces, eyes, mouths, and hair."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6faf255c95fc","_type":"block","children":[{"_key":"6faf255c95fc0","_type":"span","marks":[],"text":"Minimizing wearing jewelry as it can harbor bacteria."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e6164ec80ded","_type":"block","children":[{"_key":"e6164ec80ded0","_type":"span","marks":[],"text":"Tying hair back and trimming nails."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5bef73e1f517","_type":"block","children":[{"_key":"5bef73e1f5170","_type":"span","marks":[],"text":"Sanitizing stethoscopes between patients."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ed9cc2f6e4f0","_type":"block","children":[{"_key":"ed9cc2f6e4f00","_type":"span","marks":[],"text":"Wiping down rooms after each patient."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9dd27d6f9c1d","_type":"block","children":[{"_key":"9dd27d6f9c1d0","_type":"span","marks":[],"text":"Wiping down work stations after processing specimen samples."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"861c63f3e49b","_type":"block","children":[{"_key":"861c63f3e49b0","_type":"span","marks":[],"text":"Medical Assistants are ensuring that all exam room surfaces are disinfected after each 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Building a social contract with Tia."}],"markDefs":[],"style":"large"},{"_key":"6fe479be2c38","_type":"block","children":[{"_key":"6fe479be2c380","_type":"span","marks":[],"text":"Being social — togetherness — is what keeps us ticking, transforms the bitter moments in life to sweet ones, and, quite literally, gives us *pleasure*. Research shows that social ties reduce mortality risks among adults with documented medical conditions. Additionally, supportive interactions with others benefit the immune system and help to reduce allostatic load (the cumulative wear and tear on your body from stress — especially chronic stress)."}],"markDefs":[],"style":"normal"},{"_key":"a4fbd5add1dc","_type":"block","children":[{"_key":"a4fbd5add1dc0","_type":"span","marks":[],"text":"So, how in the world are we supposed to do this in the landscape of the coronavirus outbreak?"}],"markDefs":[],"style":"h4"},{"_key":"13405ba8c166","_type":"block","children":[{"_key":"13405ba8c1660","_type":"span","marks":[],"text":"If you’re confused about what to do right now, you’re not alone. It feels like there are different recommendations coming from everywhere and making sense of it, is no easy task. Ultimately, the choices in how *you* navigate through this bizarre time are up to you. These choices are likely dependent on a number of factors such as local context, work obligations, personal health, signature-stress type, etc. We’re here to offer a little more context to help you make more informed choices with confidence."}],"markDefs":[],"style":"normal"},{"_key":"bf40a011b81c","_type":"block","children":[{"_key":"bf40a011b81c0","_type":"span","marks":[],"text":"First things first, what is a social contract? It is an implicit agreement among the members of a society to cooperate for the social benefits of many, rather than few. Cooperation in this agreement may include sacrificing individual freedoms (not going on that hinge date, canceling wine club, or swapping your favorite yoga class for a run outside instead). Here we’ll break down how we’re thinking about the choices we’re making from an individual, local, and global perspective:\n\n"}],"markDefs":[],"style":"normal"},{"_key":"67637d4945af","_type":"editorialImageCarousel","items":[{"_key":"48f9ed2e95f9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31cfec25082371da7aba4ca3c4426b97d309fb99-2103x195-png","_type":"reference"}}}}]},{"_key":"bde8d32c1f03","_type":"block","children":[{"_key":"bde8d32c1f030","_type":"span","marks":[],"text":"At Tia, we’ve shared recommendations on how to prepare for coronavirus:"}],"markDefs":[],"style":"normal"},{"_key":"d1f26547da7e","_type":"block","children":[{"_key":"d1f26547da7e0","_type":"span","marks":[],"text":""},{"_key":"d1f26547da7e1","_type":"span","marks":["5aeea2ff1c74"],"text":"Washing hands"},{"_key":"d1f26547da7e2","_type":"span","marks":[],"text":" (obvi!)"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"5aeea2ff1c74","_type":"externalLink","url":"https://www.instagram.com/p/B9j8LnEpJZG/"}],"style":"normal"},{"_key":"9459b6fdf013","_type":"block","children":[{"_key":"9459b6fdf0130","_type":"span","marks":[],"text":"Setting-up your "},{"_key":"9459b6fdf0131","_type":"span","marks":["9c95530d7427"],"text":"medicine cabinet"},{"_key":"9459b6fdf0132","_type":"span","marks":[],"text":""}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9c95530d7427","_type":"annotation","text":[{"_key":"c7d542418228","_type":"block","children":[{"_key":"c7d5424182281","_type":"span","marks":["0742c180e4e9"],"text":"Learn more"},{"_key":"c7d5424182282","_type":"span","marks":[],"text":" about what to include in your medicine cabinet in the Coronavirus climate."}],"markDefs":[{"_key":"0742c180e4e9","_type":"annotationLink","reference":{"_ref":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"reference"}}],"style":"normal"}]}],"style":"normal"},{"_key":"26c60024ce7e","_type":"block","children":[{"_key":"26c60024ce7e0","_type":"span","marks":[],"text":""},{"_key":"26c60024ce7e1","_type":"span","marks":["23eef6b7547c"],"text":"Proactively preparing"},{"_key":"26c60024ce7e2","_type":"span","marks":[],"text":" you and your household for a number of scenarios that may play out."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"23eef6b7547c","_type":"internalLink","linkType":"text","reference":{"_ref":"84a00f77-6ca4-4dc2-a225-9141889ad4cc","_type":"reference"}}],"style":"normal"},{"_key":"ba02046dd70f","_type":"block","children":[{"_key":"ba02046dd70f0","_type":"span","marks":[],"text":"We do not promote:"}],"markDefs":[],"style":"normal"},{"_key":"b069817c4463","_type":"block","children":[{"_key":"b069817c44630","_type":"span","marks":[],"text":"Stockpiling or hoarding supplies, especially masks which are critically needed for care providers working around the clock right now!"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"727c38242d14","_type":"editorialImageCarousel","items":[{"_key":"0df7908e1a4e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3f91d3e1ec95e750d40675f5202a87660383e3a6-2103x195-png","_type":"reference"}}}}]},{"_key":"0b1bee5ad9e8","_type":"block","children":[{"_key":"0b1bee5ad9e80","_type":"span","marks":[],"text":"While young and healthy people are currently considered lower-risk for personally suffering severe illness from coronavirus, it is vital they dramatically alter their daily lives in order to lower risk from a greater local standpoint."}],"markDefs":[],"style":"normal"},{"_key":"9d63dfcbbf5b","_type":"block","children":[{"_key":"9d63dfcbbf5b0","_type":"span","marks":[],"text":"German scientists, some of the first to look at clinical data on this outbreak have concluded two pieces of information that can help us understand the impact of lessening our movement:"}],"markDefs":[],"style":"normal"},{"_key":"84852cc5667c","_type":"block","children":[{"_key":"84852cc5667c0","_type":"span","marks":["strong"],"text":"1. Individuals are most infectious early in the disease."}],"markDefs":[],"style":"normal"},{"_key":"c39adb0ae204","_type":"block","children":[{"_key":"c39adb0ae2040","_type":"span","marks":["strong"],"text":"2. Viral load (how much of the virus is present in an individual) does not necessarily correlate with the isolation of the virus. In layperson terms, you can be carrying and transmitting the virus *and* be completely symptom-free."}],"markDefs":[],"style":"normal"},{"_key":"5a2a54eadbbd","_type":"block","children":[{"_key":"5a2a54eadbbd0","_type":"span","marks":[],"text":"With restricted accessibility and availability to testing right now, one of the greatest measures we can take from a public health imperative is to engage in social distancing. This is because viruses spread easily in dense places (think: a packed subway car, a political rally, or a concert). Social distancing is a spectrum of measures that can be taken to increase the physical space between people in an effort to slow the spread of this virus."}],"markDefs":[],"style":"normal"},{"_key":"2369b328967b","_type":"editorialImageCarousel","items":[{"_key":"12d53cf0cf81","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b21456f58736739245c4fea78dab025596ab4117-2103x842-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"1bdc6235dede","_type":"block","children":[{"_key":"1bdc6235dede0","_type":"span","marks":[],"text":"But what about local businesses? What about people who are financially unable to purchase adequate provisions or work from home? What about considerations for public school closings and the children who only receive meals at school?"}],"markDefs":[],"style":"normal"},{"_key":"6e4202ee7324","_type":"block","children":[{"_key":"6e4202ee73240","_type":"span","marks":[],"text":"There aren’t easy answers. But if you have extra resources we encourage you to donate, check-in with loved ones, and members of your community who may be in need."}],"markDefs":[],"style":"normal"},{"_key":"1680cb8b6a27","_type":"editorialImageCarousel","items":[{"_key":"840cbbc22193","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-815484b03ac66c237e154152daa81d310ebce817-2103x195-png","_type":"reference"}}}}]},{"_key":"a96a78e38025","_type":"block","children":[{"_key":"a96a78e380250","_type":"span","marks":[],"text":"As of now, the Department of State is advising U.S. citizens to reconsider all travel abroad. Many areas throughout the world are experiencing coronavirus outbreaks and taking actions that limit mobility (including everything from quarantines to border restrictions)."}],"markDefs":[],"style":"normal"},{"_key":"1a75bfbc9f5e","_type":"editorialImageCarousel","items":[{"_key":"bfce6b14c254","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0573a6638628b9ddd5fc8ff947443d67643c1cee-2103x1042-png","_type":"reference"}}}}]},{"_key":"752626dacb99","_type":"block","children":[{"_key":"752626dacb990","_type":"span","marks":[],"text":"Global travel is only one aspect of this perspective. Unfortunately, we are able to see examples of healthcare systems that are completely overburdened by this virus. Our actions on an individual and local level must be considered as an ethical imperative for not only our own communities but also at a global level. It is our responsibility to work to ensure that our healthcare system does not grow overburdened. It is through small everyday choices that we can make an impact on the health and safety for all."}],"markDefs":[],"style":"normal"},{"_key":"2df8b636802d","_type":"block","children":[{"_key":"2df8b636802d0","_type":"span","marks":[],"text":"At Tia, we recommend taking some time to build out a social contract that works *you*. It might look something like this…"}],"markDefs":[],"style":"normal"},{"_key":"7bc8f6e8da95","_type":"editorialImageCarousel","items":[{"_key":"f884bea22897","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-02f3afc24fc49538a9624cc1a66146f2a98044e8-2103x656-png","_type":"reference"}}}}]},{"_key":"80a0a844609c","_type":"block","children":[{"_key":"80a0a844609c0","_type":"span","marks":[],"text":"Join us in making a social contract — for the betterment of you, your local community, and the world."}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-0004b32a5e04b31382fa81488f3bbfd23ce70783-2500x866-png","_type":"reference"}},"modules":[{"_key":"d780561a00b6","_type":"furtherReading","articles":[{"_key":"fbc8aa0e2d30","_ref":"12f61670-b812-4d44-85bb-7865737b7a5a","_type":"reference"},{"_key":"9e26632391b4","_ref":"84a00f77-6ca4-4dc2-a225-9141889ad4cc","_type":"reference"},{"_key":"168fbebe73c8","_ref":"b100e362-4b40-48ce-9d93-b08acd64841c","_type":"reference"}],"title":"More reads"}],"publishedAt":"2020-03-13T04:00:00.000Z","slug":{"_type":"slug","current":"coronavirus-building-a-social-contract"},"status":"production","title":"Building a Social Contract during Covid-19","topics":[{"_key":"4d73259c2837","_ref":"f7cd4d35-238d-4aef-85e3-748808982d9b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Learn how to build a social contract in the coronavirus climate.","metaTitle":"Building a Social Contract during Covid-19","openGraphDescription":"Learn how to build a social contract in the coronavirus climate.","openImage":{"_type":"image","asset":{"_ref":"image-a7ac813ec7088ae60203cd6c4f7836f1b7e605a5-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.679354094579008,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.32064590542099203,"x":0.839677047289504,"y":0.5}},"title":"Building a Social Contract during Covid-19","twitterDescription":"Learn how to build a social contract in the coronavirus climate.","twitterImage":{"_type":"image","asset":{"_ref":"image-a7ac813ec7088ae60203cd6c4f7836f1b7e605a5-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.6585928489042683,"right":0,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.3414071510957317,"x":0.8292964244521341,"y":0.5}},"twitterTitle":"Building a Social Contract during Covid-19"}},"id":"7580c2cb-cec3-5cfb-be1e-53d80db23a27","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"917cc0221d4bd987ae7ef489706c4457","counter":210,"owner":"gatsby-source-sanity"}},{"_id":"0b5f1314-12ed-4726-9c2a-9fbe557ca784","_type":"editorial","_createdAt":"2020-08-13T15:20:53Z","_rev":"8ycwaKn5PLURgEeFH56HHs","_updatedAt":"2022-12-27T09:01:19Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"6ebe3848-7078-4bbf-890a-e4cee9852934","_type":"reference"},"authors":[{"_key":"09b006012123","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-7decd2ec6fa557ac66f925df733fce5fa7c971b1-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"5db7515a640e","_type":"block","children":[{"_key":"5db7515a640e0","_type":"span","marks":[],"text":"Navigating the healthcare system during “normal” times is hard enough. 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Find out where and how to seek help based on your symptoms and concerns:"}],"markDefs":[],"style":"normal"},{"_key":"6a56805805b8","_type":"editorialImageCarousel","items":[{"_key":"0b0628679083","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4d9571f0f08df38a28937cdb71ba05d0e3017ac8-2103x1044-png","_type":"reference"}}}}]},{"_key":"d8ea3feffce2","_type":"editorialImageCarousel","items":[{"_key":"2a9929cb817d","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-7ce6edaa2c0c4aca4116f862bf61207638c95e4c-2103x1044-png","_type":"reference"}}}}]},{"_key":"e556f3f850cd","_type":"block","children":[{"_key":"e556f3f850cd0","_type":"span","marks":[],"text":"If you need to go to the emergency room we recommend bringing as few personal belongings as possible. Don’t forget an ID and insurance card. 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As a result of this investment in myself, I am able to think of myself as a dear, lifelong friend. This allows me to be kind to myself, which I believe leads me to be kind to others."}],"markDefs":[],"style":"normal"},{"_key":"cde8958ff8c7","_type":"block","children":[{"_key":"cde8958ff8c70","_type":"span","marks":[],"text":"If you could go back in time, what do you wish you knew about your health that you know now?"}],"markDefs":[],"style":"h4"},{"_key":"e204bae6cc9a","_type":"block","children":[{"_key":"e204bae6cc9a0","_type":"span","marks":[],"text":"I wish I knew how much every aspect of health is connected. Physical health is connected to mental health is connected to spiritual health. Trying to treat one illness or injury without the whole person in mind is incomplete care."}],"markDefs":[],"style":"normal"},{"_key":"58716f3beedb","_type":"editorialImageCarousel","items":[{"_key":"9e7565175396","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-271cedf13d5c8b6523a9f4dc030eb5339e46cdbe-2400x1336-png","_type":"reference"}}}}]},{"_key":"7290817af77d","_type":"block","children":[{"_key":"7290817af77d0","_type":"span","marks":[],"text":"If you could wave a magic wand and change one aspect of women’s healthcare, what would it be?"}],"markDefs":[],"style":"h4"},{"_key":"6a2a7c01d1c0","_type":"block","children":[{"_key":"6a2a7c01d1c00","_type":"span","marks":[],"text":"To say we need more women in leadership and government is an understatement. I would also like to see young people demanding more from their healthcare providers and creating an impetus for change."}],"markDefs":[],"style":"normal"},{"_key":"6e6e4ebaca6a","_type":"block","children":[{"_key":"6e6e4ebaca6a0","_type":"span","marks":[],"text":"What do you think is the biggest challenge facing clinicians today?"}],"markDefs":[],"style":"h4"},{"_key":"e333edad6775","_type":"block","children":[{"_key":"e333edad67750","_type":"span","marks":[],"text":"I think that most clinicians are not happy with the state of health care in our country today, but many of them don’t know what they can do to create change. I think young clinicians need to work hard to promote positive changes in health care and more experienced clinicians in the workforce need to listen and be open to the ideas of young clinicians AND patients, of course!"}],"markDefs":[],"style":"normal"},{"_key":"94ff50fa27a5","_type":"block","children":[{"_key":"94ff50fa27a50","_type":"span","marks":[],"text":"When did you know you wanted to get into medicine, and why did you choose to specialize in women’s health?"}],"markDefs":[],"style":"h4"},{"_key":"01e701f27480","_type":"block","children":[{"_key":"01e701f274800","_type":"span","marks":[],"text":"I have always been interested in science and have always felt motivated to care for people. I decided to go to nursing school after earning a degree in Biology. I taught high school biology for one year and realized I really missed hands-on care. 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And that Tia’s mission and foremost innovation is building a relationship-based care model at a time when “relationships” in healthcare are evermore rare."}],"markDefs":[],"style":"large"},{"_key":"065627a2bee0","_type":"block","children":[{"_key":"065627a2bee00","_type":"span","marks":[],"text":"Eight weeks since opening our first brick-and-mortar Tia Clinic, we’ve proven that women really, "},{"_key":"065627a2bee01","_type":"span","marks":["em"],"text":"really"},{"_key":"065627a2bee02","_type":"span","marks":[],"text":" want a differentiated relationship with the healthcare system, and that they are excited about Tia’s potential to deliver it to them. Despite the influx in demand and pressure to rapidly grow to service more members, we recently made the call to deliberately slow down before scaling up. We continue to believe that changing women’s healthcare is a marathon, and not a sprint, and that unchecked “hockey stick growth” cannot be applied to clinical care delivery when real human lives are at play. Instead, we are taking the approach that growth must be deliberate, thoughtful, and obsessively monitored to ensure care quality is never — not even for a second — sacrificed because of startup “growing pains.”"}],"markDefs":[],"style":"normal"},{"_key":"77d4ce896f7f","_type":"sectionHeader","title":"Clarifying the role of technology"},{"_key":"07a3803de386","_type":"block","children":[{"_key":"07a3803de3860","_type":"span","marks":[],"text":"In this explosive era of direct to consumer healthcare companies, we are repeatedly asked — "},{"_key":"07a3803de3861","_type":"span","marks":["em"],"text":"what is Tia?"},{"_key":"07a3803de3862","_type":"span","marks":[],"text":" — a technology company, a direct to consumer brand, or a healthcare services business? To this, we say we are not one, but all three — or more accurately, a relationship company above all else."}],"markDefs":[],"style":"normal"},{"_key":"adb43c883ca6","_type":"block","children":[{"_key":"adb43c883ca60","_type":"span","marks":[],"text":"More tactically, our approach rests on amplifying best-in-class clinical care with innovations in technology and experience design to strengthen — not replace — the canonical patient <> provider relationship. More than an Instagrammable waiting room, or “tech for tech’s sake”, we are laser-focused on interweaving technology and design into the patient and provider experience — not as a “wrapper around,” but in service of clinical care."}],"markDefs":[],"style":"normal"},{"_key":"f21dd6fa9620","_type":"block","children":[{"_key":"f21dd6fa96200","_type":"span","marks":[],"text":"In the words of our users, there’s an intangible, emotional quality that results from the interwoven-ness of technology, brand and "},{"_key":"f21dd6fa96201","_type":"span","marks":["em"],"text":"amazing"},{"_key":"f21dd6fa96202","_type":"span","marks":[],"text":" clinicians all-in-one:"}],"markDefs":[],"style":"normal"},{"_key":"8715a2b4ffa8","_type":"editorialImageCarousel","items":[{"_key":"5b15ac30b18b","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-8342e73a37f0f415f7e3f9d0eafa2c8c563b9a82-1644x1096-png","_type":"reference"}}},"text":[{"_key":"3f73ba6b8003","_type":"block","children":[{"_key":"3f73ba6b80030","_type":"span","marks":[],"text":"Tia patient reviews"}],"markDefs":[],"style":"normal"}]}]},{"_key":"44ba4663cf57","_type":"block","children":[{"_key":"44ba4663cf570","_type":"span","marks":[],"text":"In short, Tia’s model is about a sum greater than its individual parts. Remove the tech, remove the brand, or remove the care, and the whole thing disintegrates."}],"markDefs":[],"style":"normal"},{"_key":"82c702a83a9e","_type":"sectionHeader","title":"The necessity for innovation in women’s health"},{"_key":"ad5ebfbb5e05","_type":"block","children":[{"_key":"ad5ebfbb5e050","_type":"span","marks":[],"text":"While we believe that every woman "},{"_key":"ad5ebfbb5e051","_type":"span","marks":["em"],"text":"should"},{"_key":"ad5ebfbb5e052","_type":"span","marks":[],"text":" have a deep, loved and trusted 1:1 relationship with her provider, delivering this at scale and at an affordable price-point within the confines of the existing healthcare system is rife with challenges. Specifically, the dominant fee-for-service reimbursement models, women’s health provider shortages, and rapidly changing consumer demands make the historic 1:1 relationship with a provider a utopian concept of the past — increasingly limited to very expensive concierge medicine practices inaccessible to the mass market."}],"markDefs":[],"style":"normal"},{"_key":"ddbad4dac273","_type":"block","children":[{"_key":"ddbad4dac2730","_type":"span","marks":[],"text":"While we know Tia is not "},{"_key":"ddbad4dac2731","_type":"span","marks":["em"],"text":"yet"},{"_key":"ddbad4dac2732","_type":"span","marks":[],"text":" a universally-accessible solution that works for every woman with "},{"_key":"ddbad4dac2733","_type":"span","marks":["em"],"text":"any"},{"_key":"ddbad4dac2734","_type":"span","marks":[],"text":" health need across the socioeconomic spectrum, we are committed to building a best-in-class relationship-based care model where women don’t have to “choose” between the trifecta of care quality, convenience and insurance coverage. Instead at the Tia Clinic, women can get evidence-based integrative care in a non “speed dating” environment — for the price of what you pay for Netflix or Spotify each month. To deliver on this promise involves shifting the historic bi-directional patient <> provider relationship to a triangular one, with Tia as the bridge or liaison between a patient and her provider(s):"}],"markDefs":[],"style":"normal"},{"_key":"41cbaa51efcc","_type":"editorialImageCarousel","items":[{"_key":"1040cc0c11be","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-760c08c810d0f9be6570bfaf4adc76e714f4b30f-1644x1096-png","_type":"reference"}}}}]},{"_key":"aa9f939d7d63","_type":"sectionHeader","title":"Productizing this new care model"},{"_key":"fd462818416a","_type":"block","children":[{"_key":"fd462818416a0","_type":"span","marks":[],"text":"While Tia started out as the go-to “wing-woman” for women seeking health information before and after the doctor’s office, the move into real-world care delivery requires that Tia become the “wing-woman” for providers, too. In the words of Tia’s Chief Medical Officer, Dr. Stephanie McClellan:"}],"markDefs":[],"style":"normal"},{"_key":"724fca95e507","_type":"block","children":[{"_key":"724fca95e5070","_type":"span","marks":["em"],"text":"“Tia must become both healthcare translator, care navigator and research-obsessed thinker. For patients, Tia should act as ‘your best friend in medical school’ who explains things to you without dumbing things down. And for providers, Tia needs to be their ‘full-time research assistant,’ providing data-driven, evidence-based recommendations that at times, may be non-obvious, but clinically important. To create a meaningful patient <> provider relationship in the context of the pressures intrinsic to the modern medical system, Tia can’t just play one of these roles, Tia needs to excel at all of them.”"}],"markDefs":[],"style":"normal"},{"_key":"d77cf9d01341","_type":"block","children":[{"_key":"d77cf9d013410","_type":"span","marks":[],"text":"From a product perspective, this means building tools that:"}],"markDefs":[],"style":"normal"},{"_key":"1c6321fb73eb","_type":"block","children":[{"_key":"1c6321fb73eb0","_type":"span","marks":[],"text":"#1: Give the patient more control and agency over her healthcare:"}],"markDefs":[],"style":"h4"},{"_key":"39100e07fa7c","_type":"editorialImageCarousel","items":[{"_key":"53e2f33aa735","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ad82fd76266e211f5c05fc94d48c93fd588012be-1644x1096-png","_type":"reference"}}},"text":[{"_key":"151a67289f84","_type":"block","children":[{"_key":"151a67289f840","_type":"span","marks":[],"text":"Tia patients control their own health record & can share their cycle, health & wellness data with their Care Team to personalize their experience."}],"markDefs":[],"style":"normal"}]}]},{"_key":"8a3226505eb5","_type":"block","children":[{"_key":"8a3226505eb50","_type":"span","marks":[],"text":"#2: Equip providers to spend more time interfacing with patients (and less time interfacing with the EHR)"}],"markDefs":[],"style":"h4"},{"_key":"c0e125353b94","_type":"editorialImageCarousel","items":[{"_key":"ec08df1b6f07","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-54f6353aa3bb9ff89dc1bfc1c1dddb311b8dca5d-1644x1096-png","_type":"reference"}}},"text":[{"_key":"217b7f58f542","_type":"block","children":[{"_key":"217b7f58f5420","_type":"span","marks":[],"text":"TiaMD (Tia’s “doctor facing” iPad app) flags relevant health data to providers ahead of a patient visit. During Tia appointments, this information is visualized on a “third screen” for the patient & provider to view in tandem."}],"markDefs":[],"style":"normal"}]}]},{"_key":"96e182439508","_type":"block","children":[{"_key":"96e1824395080","_type":"span","marks":[],"text":"#3: Facilitate transparency and collaborative care"}],"markDefs":[],"style":"h4"},{"_key":"3c3722037bfe","_type":"editorialImageCarousel","items":[{"_key":"b7c5dd8fe8e2","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-bfd9610c83e23525e5390724a7c105312170acba-1644x1096-png","_type":"reference"}}},"text":[{"_key":"5b806cb6d384","_type":"block","children":[{"_key":"5b806cb6d3840","_type":"span","marks":[],"text":"During Tia appointments, patients & providers build a collaborative care plan personalized to the patient’s goal."}],"markDefs":[],"style":"normal"}]}]},{"_key":"7e3b82183a27","_type":"sectionHeader","title":"Why people + tech > tech alone"},{"_key":"d736bca4ad48","_type":"block","children":[{"_key":"d736bca4ad480","_type":"span","marks":[],"text":"Patient reviews like these reinforce our belief that the reimagined patient <> provider relationship of the future is at the nexus of technology, design and clinical care."}],"markDefs":[],"style":"normal"},{"_key":"0c7ca848e3eb","_type":"editorialImageCarousel","items":[{"_key":"b2696cd27b00","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-8c0541e54f41ddb78b02eb522111ef604329c688-1644x1096-png","_type":"reference"}}}}]},{"_key":"768e7a58d64a","_type":"block","children":[{"_key":"768e7a58d64a0","_type":"span","marks":[],"text":"But, we’ve also learned that we need to make further investments in the underlying service model to support this new paradigm — particularly outside of Tia exam room walls. We know that technology alone can’t cut it as an effective bridge between the patient and provider. Instead, successful solutions involve both people "},{"_key":"768e7a58d64a1","_type":"span","marks":["em"],"text":"and"},{"_key":"768e7a58d64a2","_type":"span","marks":[],"text":" technology paired together."}],"markDefs":[],"style":"normal"},{"_key":"4fdd1a3660da","_type":"block","children":[{"_key":"4fdd1a3660da0","_type":"span","marks":[],"text":"As a patient-first company who believes that transparency is the foundation of trust, here are the chief points of feedback we’ve heard from our members the past eight weeks, and the ways we are working to address these wants and needs before releasing new memberships:"}],"markDefs":[],"style":"normal"},{"_key":"de86683b3fd8","_type":"block","children":[{"_key":"de86683b3fd80","_type":"span","marks":[],"text":"#1: “I want more appointment times that work with my schedule!”"}],"markDefs":[],"style":"h4"},{"_key":"1f1fd38225f1","_type":"block","children":[{"_key":"1f1fd38225f10","_type":"span","marks":[],"text":"While non-traditional doctor’s office hours optimized for the working woman have always been part of our care promise, we opened with limited availability for early morning, evening and weekend gynecology appointments, which booked up far more quickly than we anticipated."}],"markDefs":[],"style":"normal"},{"_key":"ad57109fffd2","_type":"block","children":[{"_key":"ad57109fffd20","_type":"span","marks":[],"text":"To address the demand for these hours, and the higher-than-expected utilization we’ve seen amongst our patient population, we have hired two additional women’s health nurse practitioners to our Care Team to support an expanded schedule. Starting this week, the Tia Clinic has:"}],"markDefs":[],"style":"normal"},{"_key":"ceaade647fea","_type":"block","children":[{"_key":"ceaade647fea0","_type":"span","marks":[],"text":"“Pre-Work” morning appointments starting at 7:40AM Monday — Friday"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"811904a3de18","_type":"block","children":[{"_key":"811904a3de180","_type":"span","marks":[],"text":"“Post-Work” evening appointments ‘till 8PM Mondays, Tuesdays & Thursdays"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"62bf68defb67","_type":"block","children":[{"_key":"62bf68defb670","_type":"span","marks":[],"text":"Saturday gynecology appointments 9AM — 3PM once a month starting May 11th (and acupuncture every Saturday!)"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e204429b4f4f","_type":"block","children":[{"_key":"e204429b4f4f0","_type":"span","marks":[],"text":"Designated same and next day appointments for time-sensitive issues (such as UTIs or strep throat) that are released 24 hours ahead of time"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d681c32676b","_type":"editorialImageCarousel","items":[{"_key":"4cf14b2459c7","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-229563ce46ccc651888517dd388a3caec1d77cbc-1644x1096-png","_type":"reference"}}}}]},{"_key":"d9919ab32fc3","_type":"block","children":[{"_key":"d9919ab32fc30","_type":"span","marks":[],"text":"As we further expand our Care Team with an additional MD hire over the coming weeks, we will continue to expand our appointment availability, upholding our commitment to convenience and accessibility without compromising care quality or overloading our providers."}],"markDefs":[],"style":"normal"},{"_key":"78b0171933ff","_type":"block","children":[{"_key":"78b0171933ff0","_type":"span","marks":[],"text":"#2: “I love the experience I get at the Tia Clinic, but want that personalized care to extend before and after my visit.”"}],"markDefs":[],"style":"h4"},{"_key":"de01311c9296","_type":"block","children":[{"_key":"de01311c92960","_type":"span","marks":[],"text":"To date, we’ve struggled to ensure patients get the timely communication they desire, "},{"_key":"de01311c92961","_type":"span","marks":["em"],"text":"while also "},{"_key":"de01311c92962","_type":"span","marks":[],"text":"allowing our providers to stay focused on patient care in our exam rooms. To address this, we’re making significant changes to both our staffing model and supporting tech products to improve patient communications pre and post-Tia appointments:"}],"markDefs":[],"style":"normal"},{"_key":"8cb7522f634a","_type":"block","children":[{"_key":"8cb7522f634a0","_type":"span","marks":[],"text":"Specifically, we are introducing:"}],"markDefs":[],"style":"normal"},{"_key":"a167cf6eab7f","_type":"block","children":[{"_key":"a167cf6eab7f0","_type":"span","marks":["strong"],"text":"Care Coordinators"},{"_key":"a167cf6eab7f1","_type":"span","marks":[],"text":" "},{"_key":"a167cf6eab7f2","_type":"span","marks":["em"],"text":"— "},{"_key":"a167cf6eab7f3","_type":"span","marks":[],"text":"a dedicated human face assigned to members when they join to help them navigate every touch point of Tia Care. From questions about scheduling and billing, to referrals and labs, this person will act as our members’ “personal concierge” to streamline all communications between a patient and her provider team at Tia. We believe the addition of Care Coordinators will facilitate higher touch communications, faster response times, and enable continuity of care — without overburdening our providers."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"00ec77ccc726","_type":"editorialImageCarousel","items":[{"_key":"28d66f72a3b1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-c42b6075306e8790ef7e2326161e52c3ab763e74-1644x1096-png","_type":"reference"}}}}]},{"_key":"f9c02c957190","_type":"block","children":[{"_key":"f9c02c9571900","_type":"span","marks":["strong"],"text":"Chat with the Care Team"},{"_key":"f9c02c9571901","_type":"span","marks":[],"text":" — and in a few weeks, we are launching a private, secure inbox for ALL communications with the Tia Clinic. These past few weeks, we’ve seen that administrative questions (“I need to reschedule my appointment”) can quickly become clinical (“Do I need an ultrasound?”), and clinical questions can quickly become administrative. We are streamlining communications with a single inbox, staffed by each member’s personal Care Coordinator."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a8d08efdf8e2","_type":"editorialImageCarousel","items":[{"_key":"191d27b0fa04","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-eab4564bf89867c7a0ae624ce965bfe1736803f8-1644x1096-png","_type":"reference"}}}}]},{"_key":"c0784da2db82","_type":"block","children":[{"_key":"c0784da2db820","_type":"span","marks":["strong"],"text":"A single front door to the digital Tia Care experience"},{"_key":"c0784da2db821","_type":"span","marks":[],"text":" — from text messages to the app to the Tia Clinic Home on the web, we know it can be confusing to know where to go for information from Tia. To solve this, we are introducing a single doorway to all-things Tia Clinic where members can book appointments, edit their health record, find pre-appointment reminders (and soon, chat with the Care Team, too!) — accessible from "},{"_key":"c0784da2db822","_type":"span","marks":["c5f547860f98"],"text":"our iPhone app"},{"_key":"c0784da2db823","_type":"span","marks":[],"text":" or our website. 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But, what’s right for me?”"}],"markDefs":[],"style":"h4"},{"_key":"984d85bc7517","_type":"block","children":[{"_key":"984d85bc75170","_type":"span","marks":[],"text":"Today, orientation is commonplace in college, the workplace, conferences, you name it. We would never think about bringing on a new employee without “onboarding” he or she to our company’s values, processes, and workflows. 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Head this way for a deep dive on the research supporting this effort!"}],"markDefs":[],"style":"normal"},{"_key":"ed3f5579813e","_type":"block","children":[{"_key":"ed3f5579813e0","_type":"span","marks":[],"text":"More than a simple quiz, Female Stress Signatures is an educational tool that communicates five key concepts that every female and women’s healthcare provider should know:"}],"markDefs":[],"style":"normal"},{"_key":"b94ee5458894","_type":"block","children":[{"_key":"b94ee54588940","_type":"span","marks":[],"text":"#1: Female* stress is distinct from male stress."}],"markDefs":[],"style":"h3"},{"_key":"9b66632e07c0","_type":"block","children":[{"_key":"9b66632e07c00","_type":"span","marks":[],"text":"Shocker! Males and females evolved to process stress differently. Even though our bodies react in a similar way (meaning, elevated blood pressure, increased heart rate, dilated pupils), female and male brains activate different pathways — even in response to the same stressors. This is why we need to both study and clinically consider female stress responses and triggers as distinct from male stress patterns."}],"markDefs":[],"style":"normal"},{"_key":"176c25bcc6d7","_type":"block","children":[{"_key":"176c25bcc6d70","_type":"span","marks":["em"],"text":"*Looking to know how we define female with respect to the science of stress? 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Specifically, acute stress — which is stress that lasts anywhere from a few seconds to a few hours — is a natural physical and mental reaction to life’s experiences and is valuable (in doses)."}],"markDefs":[],"style":"normal"},{"_key":"064bde105db3","_type":"block","children":[{"_key":"064bde105db30","_type":"span","marks":[],"text":"But, when you let it run wild and stressors pile up, it can become negative This is called chronic stress and is what we’re committed to helping women better manage through Tia’s Female Stress Signatures."}],"markDefs":[],"style":"normal"},{"_key":"43689cbeb874","_type":"block","children":[{"_key":"43689cbeb8740","_type":"span","marks":[],"text":"#3: Chronic stress can make women sick."}],"markDefs":[],"style":"h3"},{"_key":"5928646224d1","_type":"block","children":[{"_key":"5928646224d10","_type":"span","marks":[],"text":"Stress protects you during short-term threatening conditions, but increasingly, you’ll find yourself in situations where a quick resolution isn’t an option — like feeling constantly overworked or worrying about paying rent on time. And so, the amazing system designed to protect you begins to cause wear and tear instead. This is known as "},{"_key":"5928646224d11","_type":"span","marks":["em"],"text":"allostatic load"},{"_key":"5928646224d12","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4b0557270066","_type":"block","children":[{"_key":"4b05572700660","_type":"span","marks":[],"text":"How allostatic load presents itself in each individual woman depends on a multitude of complex, interactive factors: the nature, duration, and timing of the chronic stress, your genetics, epigenetics, and the cumulative effects of your lifestyle, good and bad."}],"markDefs":[],"style":"normal"},{"_key":"a50f02749723","_type":"block","children":[{"_key":"a50f027497230","_type":"span","marks":[],"text":"When your brain and body remain alert and activated longer than is healthy, you can become more vulnerable to infections, heart attacks, strokes, high blood pressure, fatigue, gut dysregulation, and accelerated aging. This is why in a very literal way, chronic stress can make you sick!"}],"markDefs":[],"style":"normal"},{"_key":"44bc40a9dd19","_type":"block","children":[{"_key":"44bc40a9dd190","_type":"span","marks":[],"text":"#4: Stress is more than cortisol — it involves the two separate axes of energy and arousal."}],"markDefs":[],"style":"h3"},{"_key":"4701d664db13","_type":"block","children":[{"_key":"4701d664db130","_type":"span","marks":[],"text":"Clinically, the burdens of chronic stress can be broadly grouped into four Stress Signatures:"}],"markDefs":[],"style":"normal"},{"_key":"beb1c3efc6d8","_type":"editorialImageCarousel","items":[{"_key":"9d612adb163c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-743b4c299b0e9020c721b89fcc7e6993408a634a-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"04acfd50ddf7","_type":"block","children":[{"_key":"04acfd50ddf70","_type":"span","marks":[],"text":"These four Stress Signatures focus on the dominant components of the stress response — primarily the cortisol released from your adrenal glands and your autonomic nervous system. 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You’re ready to go-go-go from the moment your alarm goes off. But too much eager energy is taxing on your body, sending every cell in your body into overdrive, and bugging friends who’d rather not receive a brunch itinerary at 7AM."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2a0318854f72","_type":"block","children":[{"_key":"2a0318854f720","_type":"span","marks":["strong"],"text":"Pacer"},{"_key":"2a0318854f721","_type":"span","marks":[],"text":": In comparison to Sprinters, you’re slower and more gradual in the way you mobilize energy. Late nights equal Kryptonite. When your circadian rhythms are balanced, you’re able to win the slow and steady race. But when you’re out of sync, you’re really out of sync, from aches and pains to regretful outbursts."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"27aec6c6d660","_type":"block","children":[{"_key":"27aec6c6d6600","_type":"span","marks":[],"text":"Arousal"}],"markDefs":[],"style":"h4"},{"_key":"ebaa7503cc69","_type":"block","children":[{"_key":"ebaa7503cc690","_type":"span","marks":[],"text":"The other side of the chronic stress coin is your “Arousal Style” — we’re talking about how alert your nervous system is, that means both your brain and body — either Vigilant or Reluctant."}],"markDefs":[],"style":"normal"},{"_key":"2304b3c66276","_type":"editorialImageCarousel","items":[{"_key":"2d73d8b90fff","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5b78ddfdcc06c137a0692216e8fb149d31a8e560-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"39df5fc0c4cd","_type":"block","children":[{"_key":"39df5fc0c4cd0","_type":"span","marks":["strong"],"text":"Vigilant"},{"_key":"39df5fc0c4cd1","_type":"span","marks":[],"text":": In comparison to Reluctant types, you’re always on the alert. You’re beyond perceptive, which makes attention to detail under stress a strength. But imagine that your body is like a security guard who is always on watch — there’s only so many shifts your nerves can handle before it starts to breakdown."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c7b9a9f403fd","_type":"block","children":[{"_key":"c7b9a9f403fd0","_type":"span","marks":["strong"],"text":"Reluctant"},{"_key":"c7b9a9f403fd1","_type":"span","marks":[],"text":": In comparison to Vigilant types, you’re more contained. You tend to be more inwardly focused and when stressed, that can mean you’re in your own world. Think: mindlessly watching reruns until Netflix shuts off. So imagine your body is like a turtle — you prefer to be in your shell and when stress strikes, you’re retreating even further."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"98534900c8e2","_type":"block","children":[{"_key":"98534900c8e20","_type":"span","marks":[],"text":"#5: Stress is a spectrum. Unlike your high school prom pics, you aren’t stuck!"}],"markDefs":[],"style":"h3"},{"_key":"c6ae88f9eadf","_type":"block","children":[{"_key":"c6ae88f9eadf0","_type":"span","marks":[],"text":"So first things first: whether you feel “stressed” day-to-day or not, everyone has a Stress Signature. And there’s no such thing as a bad, wrong, or weird Signature. 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